Sidhu, Gursimar K

Sidhu, Gursimar K is an individual health care provider with primary practice located at 1925 Pacific Ave Internal Medicine, Atlantic City NJ 08401-6713. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Sidhu, Gursimar K can be contacted via phone (609) 411-8074.

Contact Information

Primary practice address
1925 Pacific Ave Internal Medicine Atlantic City NJ 08401-6713
Phone: (609) 411-8074
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 25MA09079800 New Jersey

Profile Details

NPI number 1063651735
LBN Legal business name Sidhu, Gursimar K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Mar 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063651735 NPPES
New Jersey MEDICAID 0304191

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